1|Page
HESI MATERNITY/PEDS EXIT EXAM AND
PRACTICE EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|100% GUARANTEED PASS!
HESI MATERNITY/PEDS EXIT EXAM
A woman who is 6 weeks pregnant has the following
maternal history: a 2 yr old healthey daughter, a
miscarriage at 10 weeks, 3 years ago and an elective
abortion at 6 weeks, 5 years ago. Describe gravidity and
parity in this case.
A. gravida 1, para 4
B. gravida 2, para 4
C. gravida 4, para 1
D. gravida 4, para 2 - ANSWER-C.
Rationale; With this pregnancy, the woman is a gravida 4,
para 1 ( only 1 delivery after 20 weeks geatation)
,2|Page
The first day of a womans last normal menstrual period
was October 17. By using Nagele's rule, what is the EDB?
A. July 10
B. July 24
C. June 10
D. June 24 - ANSWER-B.
Rationale; If the first day of a womans last normal
menstrual period was October 17, her EDB using Nagele's
rule is July 24. Count back 3 months and add 7 days (
Always give February 28 days)
At approximately 28 - 32 weeks gestation, the maximum
plasma volume increase of 25 - 40% occurs, resulting in
normal hemodilution of pregnancy and Hct values of 32 -
42%. What does Hct in reality represent, even if its values
may look "good"?
A. Pregnancy induced hyperglycemia
B. Pregnancy induced hypoglycemia
C. Pregnancy induced hypertension
D. pregnancy induced hypotension - ANSWER-C.
,3|Page
Rationale; High Hct values may look "good" but in reality
represent pregnancy induced hypertension and depleted
vascular space
A 22 year old primigravida at 12 weeks gestation has a
high Hgb of 9.6 g/dl and a Hct of 31% and she has gained
3 pounds during the first trimester, even if the gain of 3.5
to 5 pounds during the first trimester is recommended.
Taking into consideration that the client is anemic, what
supplements should be recommended to her?
A. Potassium
B. Magnesium
C. Iron
D. Calcium - ANSWER-C.
Rationale; For the anemic pregnant client, supplemental
iron and a diet high in iron is needed
As pregnancy advances, the uterus presses on the
abdominal vessels ( vena cava and aorta). What position
is best for increasing perfucion according to the latest
research?
, 4|Page
A. Left side lying position
B. Knee chest position
C. Side lying position
D. Right side lying position - ANSWER-B.
Rationale; Recent research indicated that the knee chest
position is best for increasing perfusion and that the sid
lying position (either left or right side lying) is the second
most disirable position to increase perfusion. Prior to this
research, the left side lying position was usually
encouraged
Fetal well being is determined by assessing fundal height,
fetal heart tones/rate, fetal movement and uterine activity
(contractions). What do changes in fetal heart rate
indicate?
A. Leukorrhea
B. Compromised blood flow to the fetus
C. Fluid discharge from vagina
D. Change in fetal movement - ANSWER-B.
HESI MATERNITY/PEDS EXIT EXAM AND
PRACTICE EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|100% GUARANTEED PASS!
HESI MATERNITY/PEDS EXIT EXAM
A woman who is 6 weeks pregnant has the following
maternal history: a 2 yr old healthey daughter, a
miscarriage at 10 weeks, 3 years ago and an elective
abortion at 6 weeks, 5 years ago. Describe gravidity and
parity in this case.
A. gravida 1, para 4
B. gravida 2, para 4
C. gravida 4, para 1
D. gravida 4, para 2 - ANSWER-C.
Rationale; With this pregnancy, the woman is a gravida 4,
para 1 ( only 1 delivery after 20 weeks geatation)
,2|Page
The first day of a womans last normal menstrual period
was October 17. By using Nagele's rule, what is the EDB?
A. July 10
B. July 24
C. June 10
D. June 24 - ANSWER-B.
Rationale; If the first day of a womans last normal
menstrual period was October 17, her EDB using Nagele's
rule is July 24. Count back 3 months and add 7 days (
Always give February 28 days)
At approximately 28 - 32 weeks gestation, the maximum
plasma volume increase of 25 - 40% occurs, resulting in
normal hemodilution of pregnancy and Hct values of 32 -
42%. What does Hct in reality represent, even if its values
may look "good"?
A. Pregnancy induced hyperglycemia
B. Pregnancy induced hypoglycemia
C. Pregnancy induced hypertension
D. pregnancy induced hypotension - ANSWER-C.
,3|Page
Rationale; High Hct values may look "good" but in reality
represent pregnancy induced hypertension and depleted
vascular space
A 22 year old primigravida at 12 weeks gestation has a
high Hgb of 9.6 g/dl and a Hct of 31% and she has gained
3 pounds during the first trimester, even if the gain of 3.5
to 5 pounds during the first trimester is recommended.
Taking into consideration that the client is anemic, what
supplements should be recommended to her?
A. Potassium
B. Magnesium
C. Iron
D. Calcium - ANSWER-C.
Rationale; For the anemic pregnant client, supplemental
iron and a diet high in iron is needed
As pregnancy advances, the uterus presses on the
abdominal vessels ( vena cava and aorta). What position
is best for increasing perfucion according to the latest
research?
, 4|Page
A. Left side lying position
B. Knee chest position
C. Side lying position
D. Right side lying position - ANSWER-B.
Rationale; Recent research indicated that the knee chest
position is best for increasing perfusion and that the sid
lying position (either left or right side lying) is the second
most disirable position to increase perfusion. Prior to this
research, the left side lying position was usually
encouraged
Fetal well being is determined by assessing fundal height,
fetal heart tones/rate, fetal movement and uterine activity
(contractions). What do changes in fetal heart rate
indicate?
A. Leukorrhea
B. Compromised blood flow to the fetus
C. Fluid discharge from vagina
D. Change in fetal movement - ANSWER-B.
